The Developmental Neurotoxicity of Arsenic: Cognitive and Behavioral Consequences of Early Life Exposure

Background: More than 200 million people worldwide are chronically exposed to arsenic. Arsenic is a known human <a title="Learn more about Carcinogens" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/carcinogens">carcinogen</a>, and its carcinogenic...

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Autores principales: Molly Tolins, Mathuros Ruchirawat, Philip Landrigan
Formato: article
Lenguaje:EN
Publicado: Ubiquity Press 2014
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Acceso en línea:https://doaj.org/article/2ed0a75f341342c7b4f75a00089e087b
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Sumario:Background: More than 200 million people worldwide are chronically exposed to arsenic. Arsenic is a known human <a title="Learn more about Carcinogens" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/carcinogens">carcinogen</a>, and its carcinogenic and systemic toxicity have been extensively studied. By contrast, the developmental <a title="Learn more about Neurotoxicity" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/neurotoxicity">neurotoxicity</a> of arsenic has been less well described. The aim of this review was to provide a comprehensive review of the developmental neurotoxicity of arsenic. Methods: We reviewed the published epidemiological and toxicological literature on the developmental neurotoxicity of arsenic. Results: Arsenic is able to gain access to the developing brain and cause neurotoxic effects. Animal models link prenatal and early postnatal exposure to reduction in brain weight, reductions in numbers of <a title="Learn more about Glia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/glia">glia</a> and neurons, and alterations in <a title="Learn more about Neurotransmitter" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/neurotransmitter">neurotransmitter systems</a>. Animal and <a title="Learn more about In vitro" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/in-vitro">in vitro</a> studies both suggest that <a title="Learn more about Oxidative stress" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/oxidative-stress">oxidative stress</a> may be a mechanism of arsenic neurotoxicity. Fifteen epidemiological studies indicate that early life exposure is associated with deficits in intelligence and memory. These effects may occur at levels of exposure below current safety guidelines, and some neurocognitive consequences may become manifest only later in life. Sex, concomitant exposures, and timing of exposure appear to modify the developmental neurotoxicity of arsenic. Four epidemiological studies failed to show behavioral outcomes of arsenic exposure. Conclusions: The published literature indicates that arsenic is a human developmental neurotoxicant. Ongoing and future prospective birth <a title="Learn more about Cohort Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cohort-study">cohort studies</a> will allow more precise definition of the developmental consequences of arsenic exposure in early life.